Provider Demographics
NPI:1720171572
Name:GENESEE REGION HOME CARE OF ONTARIO COUNTY, INC.
Entity Type:Organization
Organization Name:GENESEE REGION HOME CARE OF ONTARIO COUNTY, INC.
Other - Org Name:HOME CARE PLUS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIRICO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-214-1219
Mailing Address - Street 1:3111 WINTON RD S
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2905
Mailing Address - Country:US
Mailing Address - Phone:585-214-1000
Mailing Address - Fax:585-214-1136
Practice Address - Street 1:3111 WINTON RD S
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623-2905
Practice Address - Country:US
Practice Address - Phone:585-214-1000
Practice Address - Fax:585-214-1136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0811L001251E00000X, 251F00000X
NY0811L002251E00000X, 251F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01529244Medicaid